# MACKENZIE ROSE MIDWIFERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104664002
- **Authorized official:** MACKENZIE ROSE LEEKE LM, CMP (OWNER)
- **Authorized official phone:** (530) 277-2043

## Contact information

- **Practice address:** 508 REDBUD WAY, NEVADA CITY, CA 95959-2156
- **Practice address phone:** (530) 277-2043
- **Practice address fax:** (530) 572-1524
- **Mailing address:** 508 REDBUD WAY, NEVADA CITY, CA 95959-2156
- **Mailing address phone:** (530) 277-2043
- **Mailing address fax:** (530) 572-1524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 07/16/2024